PROXIMITY CARD REQUEST FORM
ONLY AUTHORIZED INDIVIDUALS AS PREVIOUSLY PROVIDED TO THE ID CENTER MAY USE THIS FORM. ANY OTHER REQUESTS WILL BE DISREGARDED.
These cards are $10.00 each, and payment is due upon pickup. Any individuals receiving a proximity card must first turn in their current ID if they have previously been issued one.
Your card will be ready within 2 business days. To inquire about your card, you can
call our office at (270) 745-2417.
*Requests made during semester start-up periods and/or TOP dates will not be processed until a later date.
COMPLETE FORM BELOW PLEASE:
Need assistance, contact the WKU ID Center at
PHONE: (270) 745-2417
download Adobe Acrobat Reader.
Note: documents in Excel format (XLS) require Microsoft Viewer,
Note: documents in Word format (DOC) require Microsoft Viewer,
Note: documents in Powerpoint format (PPT) require Microsoft Viewer,
Note: documents in Quicktime Movie format [MOV] require Apple Quicktime,